Michael Difrancesca, DPM
Primary Podiatric Medicine · Aston, PANPI 1598711954
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.7% of the total across 47 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Paratek Pharmaceuticals, Inc. accounts for 66.3% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2022 at $331 and has fallen 78.0% since, to $73 in 2025.
Across 47 payments — averaging $19.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paratek Pharmaceuticals, Inc.$622
- Nevro Corp.$144
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$49
- Convatec Inc.$43
- Merck$24
- Hikma Pharmaceuticals USA$15
- plus $40 from 3 others
What the payments were for
- Food & beverage$89896%
- Education$404%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Paratek Pharmaceuticals, Inc. | 30 | $622 |
| Nevro Corp. | 9 | $144 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $49 |
| Convatec Inc. | 1 | $43 |
| Merck | 2 | $24 |
| Hikma Pharmaceuticals USA | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Amgen | 1 | $13 |
| Nabriva Therapeutics, PLC | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- NUZYRA$125
How this compares
$938 in reported general payments places this provider in the 60th percentile of 31 primary podiatric medicine providers in Pennsylvania.
See all primary podiatric medicine providers in Pennsylvania →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Econazole Nitrate | 24 | $649 |
| Ketoconazole | 27 | $490 |
| Cephalexin | 30 | $407 |
| Gabapentin | 30 | $335 |
| Allopurinol | 15 | $216 |
| Doxycycline Hyclate | 11 | $194 |
| Diclofenac Sodium | 15 | $193 |
| Methylprednisolone | 39 | $188 |
| Clindamycin Hcl | 15 | $92 |
| Meloxicam | 23 | $76 |
Paid to pharmacies, not to this prescriber.
Other primary podiatric medicine in Aston
- Donald MrdjenovichAltoona$26K
- Michael DowneyPhiladelphia$9K
- Paul GoehringBeaver Falls$5K
- Carl MattiaYardley$4K
- Louis GreerHarrisburg$3K
- Vincent PongiaCoatesville$3K
- Kenneth D'ortonePhiladelphia$2K
- Ketan KothariPhiladelphia$2K
- Gary CortesePottsville$1K
- Gerald GronborgMc Connellsburg$1K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.